The Challenge of Balance After Hydrocephalus
Hydrocephalus can affect the cerebellum — the part of the brain that controls balance and coordination. After diagnosis and treatment, many children need specific exercises to rebuild their ability to stand, walk, and move safely.
Exercise 1: Standing on One Foot
Hold the child near a wall for safety. Ask them to lift one foot slightly off the ground and hold for 5–10 seconds. Start with the stronger side. Progress to longer holds as stability improves.
Exercise 2: Heel-to-Toe Walking
Walk in a straight line placing the heel of one foot directly in front of the toes of the other. This “tandem walking” challenges balance in a safe, structured way. Use a line on the floor as a guide.
Exercise 3: Stepping Over Obstacles
Place small objects (books, cushions) on the floor and guide the child to step over them one at a time. This builds hip flexor strength and the visual-spatial awareness needed for safe movement.
Exercise 4: Side-Stepping
Stand sideways and step to the side, bringing feet together between each step. Move 5 steps left, then 5 steps right. This strengthens the hip muscles that stabilise walking.
Exercise 5: Sitting on a Balance Board or Cushion
Sitting on a wobble cushion (available cheaply online) while doing other activities activates the core muscles needed for upright stability. Even 20 minutes of seated play on a wobble cushion builds deep postural strength.
A Word on Patience
Walking recovery after hydrocephalus takes time. My son took many months to walk with support. Every step, however small, is progress.
Written by Haris Bin Tahir — father, caregiver, and founder of Brain Care Path.